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NPI 1457042772

NPI 1457042772 : LEARNING TOGETHER SPEECH THERAPY, INC. : OAKLAND, CA

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General NPI Number Information
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    NPI Number           |    1457042772
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEARNING TOGETHER SPEECH THERAPY, INC. 
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Dates
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    Enumeration Date     |    05/17/2023
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    Last Update Date     |    10/09/2024
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Provider Practice Location Address
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    Address Line         |    111 EMBARCADERO W APT 1318 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94607-4506
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    Country              |    US
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    Telephone            |    213-373-7496
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    111 EMBARCADERO W APT 1318 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94607-4506
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    Country              |    US
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    Telephone            |    650-219-3238
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MALINA  MAR 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    213-373-7496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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